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Fees to be Charged YES NO <br /> 'Permit: r,�' <br /> Plan Review <br /> State:Surcharge - <br /> Investigation Fee ' <br /> :�SAC `�;N:umber ofi:SAC:Units <br /> Sewer Connection <br /> 1Nater;'Connection ' <br /> , , _ <br /> Park Fee <br /> 'S�te�ln5pecfion�, ' . .,♦:, .. ;; <br /> Other (specify) - <br /> "Misce!Ilaneo�s-Fees= ._. ., .;., ., : <, �. <br /> , � � <br /> Calculated By: <br /> Square Footage $ per S uare Foota e <br /> Basement X � _ $ <br /> 15S Floor X = � <br /> 2nd Floo� X = $ <br /> Garage X � _ $ <br /> Estimated Construction Value: $ /�,UC�O � <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal Mechanical ❑ Fire � Electrical <br /> �Footing ❑ eptic ❑ Water Connection <br /> ❑ Poured Wall �ire lace ❑ Sewer Connection <br /> ❑ Foundation Survey �asonry 0 Lawn Irrigation <br /> ❑ Radon Rock Bed ❑ Mfg. <br /> ,� Framing ❑ Other(specify) <br /> �Insulation <br /> ❑ /js-Built Survey <br /> �Final <br /> ❑ Other (specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO <br /> REMARKS (TO BE NOTED ON PERMlT AND INITIALLED BY PERSON PULLING PERMIT) <br /> A 1 T�nr,uy�1 ��i �� 0"��!�P � `�L�,' S (3u, � � � c; /�c�c�t -f-�� .L! <br /> � �;L% � � B �Z �n �' r-� �1 f T r� o TO ����� l � TO <br /> - � �^-+- �-1 SP c.,��1�' /��.c� � A •-�eT- <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />